Category Archives: Cancer Research

The First in 10 Years – FDA Approves New Liver Cancer Drug

FDA Approves New Drug! Could This Make Groundbreaking Progress?
FDA Approves New Drug! Could This Make Groundbreaking Progress?

In November 2007, the Food and Drug Administration gave its first-ever approval for a drug designed as liver cancer treatment. Nearly 10 years later, the FDA has given its approval to a second drug for liver cancer that also has applications for some forms of gastrointestinal cancer.

The Search for Effective Liver Cancer Treatment

Sorafenib, brand name Nexavar®, was the original drug approved for treatment of hepatocellular carcinoma (HCC), which is the most common form of liver cancer. The drug acts as a kinase inhibitor to block enzymes responsible for cell division and reproduction.

According to Dr. Tim Greten of NCI’s Center for Cancer Research, since 2007 there have been a number of phase III trials for possible liver cancer treatments. Until now, none of them have been successful.

A 10-Year Breakthrough

Regorafenib, brand name Stivarga®, is also a kinase inhibitor. During a phase III trial, 573 patients whose HCC had not responded to sorafenib were assigned to receive either regorafenib or a placebo.

The patients who received regorafenib experienced an overall three-month increase in survival over the placebo group. Percentage of patients whose tumors had at least partial shrinkage was 11 percent and four percent respectively.

Researchers are also studying the use of other immunotherapy agents against liver cancer. The current focus is on checkpoint inhibitors such as tremelimumab and nivolumab.

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Targeted Cancer Drugs May Protect Fertility in Female Cancer Patients

There is New Hope for Cancer Patients.
There is New Hope for Cancer Patients to Have Children After Treatment

Women of child-bearing age who are undergoing cancer treatment are often vulnerable to infertility. Researchers recently discovered that a certain type of targeted cancer drug may block this unfortunate side effect of chemotherapy.

How Cancer Treatment Affects Fertility

Chemotherapy drugs work by targeting rapidly developing cells and damaging cellular DNA. Oocytes, or immature egg cells, are hypersensitive to DNA damage in order to “retain genomic fidelity.”

In addition, chemotherapy triggers a signaling pathway in the ovaries, resulting in premature maturation of primordial follicles. This process is often referred to as follicular burnout.

Currently there are two primary options for women to preserve their fertility while receiving chemotherapy:

• Goserelin (trade name Zoladex®) and leuprolide (trade name Lupron®) are drugs that temporarily shut down the ovaries.

• Cryopreservation involves harvesting eggs and freezing them for future use or fertilizing them outside the body and freezing the embryos.

Can Targeted Cancer Drugs Help to Preserve Fertility?

mTOR inhibitors have been approved for clinical use as they undergo continued testing for application as targeted cancer drugs. Since mTOR is a vital element in an ovary’s signaling pathway, researchers suspect that blocking the enzyme could protect the reserve of primordial follicles.

During the study, female mice who received chemotherapy only experienced follicular burnout, while those who received mTOR inhibitors as supplements maintained the reserves of primordial follicles. The latter also became pregnant at normal rates, while the former were primarily infertile.

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CAR T-Cells May Be an Effective Immunotherapy for Multiple Myeloma

Is Issels Genomic Testing for Personalized Treatment For You
Is Issels Genomic Testing for Personalized Treatment For You?

Researchers have been focusing on CAR T-cells as the basis for a promising immunotherapy cancer treatment. Recent trials show encouraging results for the use of CAR T-cells in fighting advanced multiple myeloma.

CAR T Cells: A New Approach in Cancer Treatment

Scientists are excited about CAR T-cell therapy because it uses a patient’s own immune cells to treat cancer. The cells are gathered from the patient’s blood, engineered to produce chimeric-antigen receptors (CARs), and multiplied in the lab to reach quantities in the billions.

At that point, the cells are reintroduced into the patient’s bloodstream, to where they attach themselves to specific targets on cancer cells. CAR T-cell products, currently awaiting FDA approval, target the CD19 antigen in leukemia and lymphoma.

Can CAR T-Cells Treat Different Cancers?

Two CAR T-cell trials were recently conducted in the United States and China. Results were presented last June at the annual meeting of the American Society of Clinical Oncology in Chicago.

Both trials examined the use of CAR T-cells that target B-cell maturation antigens (BCMA), which are proteins found in myeloma cells. Most of the patients in the studies achieved positive results, with many experiencing complete remission.

CAR T-cell research is still in the early stages. Testing will continue to validate these findings and determine whether CAR T-cell therapy is a viable treatment method for cancer patients.

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Molecularly Targeted Therapy – Considered Exciting Cancer News

Molecular Targeted Therapy Hit the Bulls Eye!
Molecular Targeted Therapy Hit the Bulls Eye!

Traditional cancer treatments often attack both cancer and healthy cells, resulting in debilitating side effects such as fatigue and weight loss. Doctors are excited about a revolutionary cancer treatment that specifically targets cancer cells.

Cancer Treatment that “Hits the Bullseye”

As implied by the name, molecularly targeted therapy involves drugs designed at the molecular level of the cell to attack and destroy specific types of cancer. Glivec (or Gleevec), also known as STI571, is the pioneering drug in this promising new therapy.

These so-called “designer drugs” begin with the identification of an abnormal molecule unique to a particular type of cancer. Scientists can then create a drug that interferes with the function of that molecule.

Glivec: Targeting Leukemia

Glivec has been found to be effective against chronic myeloid leukemia, also known as CML. Dr. Brian Druker, who led the research on Glivec, discovered that scientists have previously used STI571 to treat a rare gastrointestinal cancer that shares an enzyme related to one in CML.

Dr. Druker, who also serves as director of the leukemia program at the Oregon Health Sciences University, believes that STI571 can lead the way in finding the abnormalities in other types of cancer so they can also be treated with molecularly targeted therapy.

FDA approval of Glivec was fast-tracked and the drug is now available from Novartis Pharmaceuticals.

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The Connection Between Tumors and Blood Vessels

Stop Cancer
Stop Cancer

The medical community has long believed that cancer cells support their growth by generating blood vessels. A recent study suggests that blood vessels may actually begin the cycle of tumor development.

“Hijacking” Blood Vessels for Tumor Development

According to cancer biologist Dr. Lan Ko, one of the authors of the study, the team found evidence that blood vessels can create tumors. In turn, the cancer cells then produce blood vessels to further sustain their growth.

Researchers focused on GT198, a gene generally found in low levels within the body. It has a natural ability to repair DNA and regulate stem cells, but in mutated form it creates cancer cells.

Pericytes, found in the outer layer of blood vessels, resemble stem cells in the way they can form different types of tissue. During the study, researchers found abnormally high levels of GT198 in pericytes supporting a number of human tumors.

Even more surprising was that the GT198 was located in the pericytes’ cytoplasm instead of the nucleus. This enabled malignant pericytes to multiply into cancer cells and detach from blood vessels to promote spread of the tumors.

Application for Cancer Treatment

As Dr. Ko explained, these results indicate that GT198 is a viable target for immunotherapy for cancer treatments. Further testing will explore use of existing cancer drugs and development of new ones.

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What is Recurrent Cancer – What Do I Need to Know?

What Do I Need to Know?
What Do I Need to Know?

Have you ever heard stories about patients undergoing immunotherapy for cancer and experiencing no recurrence? Here’s what you need to know about recurrent cancer and what it means in terms of your overall health.

When Cancer Comes Back

Recurrence refers to cancer that returns after treatment has been completed. It originates with cancer cells that remained after the first course of treatment but were too small to show up in post-treatment testing.

Recurrent cancer is the same form as the original tumor, as opposed to a new type of cancer that may develop in patients who have a history of tumors. The latter is known as second primary cancer.

Types of Recurrent Cancer

Cancer recurs in three different ways:

• Local recurrence is in the same general area as the original tumor.

• Regional recurrence describes cancer that has grown into lymph nodes or other tissues near the original cancer.

• Distant recurrence is when cancer has spread to organs or other tissues far from the original site.

Another term that describes distant recurrence is metastatic cancer. Regardless of where the cancer has spread, it’s still the same type as the original tumor.

Testing and Treatment

Your doctor will likely repeat many of the same tests that resulted in the first diagnosis. These tests provide information to help determine the appropriate course of treatment.

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